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Form 9

The document is a declaration form filled out by an employee named Shiren Amin joining a new company. It details their previous employment and pension fund contribution history, and confirms they have not withdrawn any provident or pension funds from previous employments. It also provides their Universal Account Number and bank account details.

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shiranamin345
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172 views1 page

Form 9

The document is a declaration form filled out by an employee named Shiren Amin joining a new company. It details their previous employment and pension fund contribution history, and confirms they have not withdrawn any provident or pension funds from previous employments. It also provides their Universal Account Number and bank account details.

Uploaded by

shiranamin345
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Applicant ID : 2143055

FORM 9
THE EMPLOYEES' PROVIDENT FUNDS SCHEME, 1952 (Paragraph 34)
AND
THE EMPLOYEES' PENSION SCHEME, 1995 (Paragraph 24)
Declaration by a person taking up employment in an establishment in which the Employees
'Provident Funds & Employees' Pension Scheme enforce

I, SHIRAN AMIN son of MD AMIN Do hereby solemnly declare that :-

a) I was employed with WIPRO Limited with PF A/c Number PU/PUN/2018/16/0000011114 and left service on 06/05/2024 prior to that, I was employed with NA with PF
A/c Number NA from NA to NA

b) I am a member of the pension fund from 30/10/2021 to 06/05/2024

c) I have not withdrawn the amount of my Provident Fund

d) I have not withdrawn the amount of my Pension Fund

e) I have not drawn any benefits under the Employees Pension Scheme, 1995 in respect of my past service in any establishment.

f) I have contributed to the Social Security programme in NA from NA to NA.

Do you have UAN : Yes

Universal Account
Aadhaar Enrolment Number NPR PAN
Number(UAN)

101757734878 965639104604 NA NA BYJPA5039B

Bank Account Number Linked with UAN : Link UAN with Previous Bank Account

Bank Account Number IFSC Code

050100466452275 HDFC0009262

Date :

Signature of the Employee

_______________________________________________________________________________________________________________________________________________

(To be filled by the Employer)

1) Shri/Smt/Kumari SHIRAN AMIN is appointed as in Tata Consultancy Services Limited with effect from bearing Provident Fund
Number: MH/BAN/48475/

2) Copy of Scheme Certificate enclose.

3) Declaration & Nomination in Form 2 is enclosed.

Tata Consultancy Services Limited


11th Floor, Air India Building,Nariman Point,
Mumbai-400 021

TCS Confidential

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